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Large Auricular Chondrocutaneous Composite Graft for Nasal Alar and Columellar Reconstruction

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Affiliated Author(s)
손대구김준형한기환
Alternative Author(s)
Son, Dae GuKim, Jun HyungHan, Ki Hwan
Journal Title
Archives of Plastic Surgery
ISSN
2234-6163
Issued Date
2012
Abstract
Background Among the various methods for correcting nasal deformity, the composite
graft is suitable for the inner and outer reconstruction of the nose in a single stage. In this
article, we present our technique for reconstructing the ala and columella using the auricular
chondrocutaneous composite graft.
Methods From 2004 to 2011, 15 cases of alar and 2 cases of columellar reconstruction
employing the chondrocutaneous composite graft were studied, all followed up for 3 to 24
months (average, 13.5 months). All of the patients were reviewed retrospectively for the
demographics, graft size, selection of the donor site and outcomes including morbidity and
complications.
Results The reasons for the deformity were burn scar (n=7), traumatic scar (n=4), smallpox
scar (n=4), basal cell carcinoma defect (n=1), and scar contracture (n=1) from implant induced
infection. In 5 cases of nostril stricture and 6 cases of alar defect and notching, composite grafts
from the helix were used (8.9×12.5 mm). In 4 cases of retracted ala, grafts from the posterior
surface of the concha were matched (5×15 mm). For the reconstruction of the columella,
we harvested the graft from the posterior scapha (9×13.5 mm). Except one case with partial
necrosis and delayed healing due to smoking, the grafts were successful in all of the cases
and there was no deformity of the donor site.
Conclusions An alar and columellar defect can be reconstructed successfully with a relatively
large composite graft without donor site morbidity. The selection of the donor site should be
individualized according to the 3-dimensional configuration of the defect.
Keywords Ear / Nose / Transplants
Department
Dept. of Plastic Surgery (성형외과학)
Publisher
School of Medicine
Citation
Daegu Son et al. (2012). Large Auricular Chondrocutaneous Composite Graft for Nasal Alar and Columellar Reconstruction. Archives of Plastic Surgery, 39(4), 323–328. doi: 10.5999/aps.2012.39.4.323
Type
Article
ISSN
2234-6163
DOI
10.5999/aps.2012.39.4.323
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35094
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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